Provider Demographics
NPI:1811507379
Name:APTITUDE MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:APTITUDE MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR/C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:TYLESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-572-1832
Mailing Address - Street 1:PO BOX 90487
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85066-0487
Mailing Address - Country:US
Mailing Address - Phone:480-572-1832
Mailing Address - Fax:602-581-3245
Practice Address - Street 1:5025 S ASH AVE STE 12
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6885
Practice Address - Country:US
Practice Address - Phone:480-572-1832
Practice Address - Fax:602-581-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-08
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)